Congenital accessory spleen or splenunculi is a small mass of splenic tissue that failed to fuse with the primary spleen during embryogenesis. The overall prevalence of splenunculus in 14.5% in the literature. Splenunculus is usually asymptomatic in most of the individuals and diagnosed incidentally during the abdominal imaging, laparotomy or necropsy. Rarely it might present as an acute abdomen in case of torsion or infract. Few cases of malignant changes in the accessory spleen are also reported. Surgeons need to be aware of such small masses of splenic tissue during splenectomy, if they are left unnoticed after total splenectomy, it may lead to the recurrence of hematological disorders. In the present case report, the authors described an isolated, solitary splenunculus in a 55 years old male cadaver found during dissection. KEY WORDS: Accessory spleen, Splenunculi, Splenectomy, Splenosis, Torsion.
Osteomas are most common among all primary bone tumors of skull bones. They are usually asymptomatic due to their small size and slow growth. They are found incidentally on imaging studies for other neurologic symptoms. Osteoma may be single or multiple when present. They should be differentiated from meningiomas, chordomas, schwannomas, and parosteal osteosarcoma by using different diagnostic methods, including histopathologic study.During routine dissection for MBBS students in an 87 years old female cadaver, we found multiple (seven in number) irregular, lobulated bony masses/structures. Their positions were different with respect to the layers of meninges. Some were present between the dura mater and arachnoid mater compressing the adjacent brain tissues forming impressions on them, and some were outside the dura mater. So, into the previously existing classification, we want to add a new variety under the type b category, i.e., mixed type (intraparenchymal, dural, skull vault) as pointed under the subtype V, which is found in our case.
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